JENNIFER MARIE LAKE M.A., LMFT
NPI 1801199302
Marriage & Family Therapist in Roseville, MN

Q: What is Jennifer Lake's NPI number?

The NPI number for Jennifer Lake is 1801199302. It was assigned to this individual provider in the NPPES registry on December 6, 2010. The provider is also known as Jennifer Marie Ketz Ma, Lmft.

Q: What is Jennifer Lake's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lake was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2010PECOS EnrolledAccepts Medicare Assignment

2233 N. HAMLINE AVE., SUITE 411, ROSEVILLE, MN 55113(612) 799-8258(651) 330-8718 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jennifer Marie Lake M.a., Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MARIE LAKE M.A., LMFT (NPI 1801199302) is an individual marriage & family therapist in Roseville, Minnesota, licensed in Minnesota (2425) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801199302

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER MARIE LAKECredential: M.A., LMFT

Location Address2233 N. HAMLINE AVE., SUITE 411Roseville, MN 55113

Mailing Address8119 50th Ave. N.New Hope, MN 55428 · (612) 799-8258

Phone(612) 799-8258

Fax(651) 330-8718

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 6, 2010

Last NPPES UpdateOctober 22, 2015

✔ NPI 1801199302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 2425

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2233 N. HAMLINE AVE., SUITE 411, Roseville, MN 55113

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Other Names 1

Former Name (1)Jennifer Marie Ketz Ma, Lmft

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Marie Lake M.a., Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850729740

PECOS Enrollment IDI20240125000206

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Lake's NPI number?

The NPI number for Jennifer Lake is 1801199302. It was assigned to this individual provider in the NPPES registry on December 6, 2010. The provider is also known as Jennifer Marie Ketz Ma, Lmft.

Where is Jennifer Lake located?

Jennifer Lake practices at 2233 N. Hamline Ave., Suite 411, Roseville, MN 55113. The listed phone number is (612) 799-8258.

What is Jennifer Lake's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Lake enrolled in Medicare?

Yes. Jennifer Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Lake accept?

Health plans from HealthPartners list Jennifer Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Lake was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.